Sushruta Ano Rectal Institute (Piles & Fistula treatment)

Hi,

I am Dr. S K Singh, Ayurveda, Sushruta Ano Rectal Institute (Piles & Fistula treatment), Delhi. Aaj hum baat karenge pilonidal sinus ke bare mein. Mein aap ko bataunga ki ye kya hota hai and iske symptoms kya hain. Ye problem unmein jyada dekhi jati hai jinki skin pe hair bohot hote hain. Ismein spine bone ke niche ek pimple ho jata hai jisme water, pus discharge hota hai. Ismein pain koi prominent symptom nhi hai. Ismein pain tabhi hota hai jab pus jyada hota hai and bahar nhi aa pata hai. Ab mein aap ko bataunga iske treatment ke bare me. Isme medicinal treatment jyada effective nahi hota hai. Jahan pain and swelling jyada hoti hai vahan hum medicines recommend karte hian. Lekin fir bhi sinus khatam nahi hota hai. Or fir iske liya surgery recommend ki jati hai. Surgery mein utne hisse ko cut kar diya jata hai.

Kayi bar open wound heal kia jata hai or nhi to stitch laga ke close kar diya jata hai. Lekin surgery ke baad bhi recurrence ke chances hote hain. 20% cases mein ye problem dubara hone ke chances hote hain. Ab iska permanent solution kya hai? Ayurveda mein hum kshar sutra treatment dete hain aap ko. Jo isko permanently khatam kar deta hai. Hum pehle proper track define karte hain. Uske baad ek medicinal thread place karte hain. YE thread har week change kia jata hai. Kyunki us thread ki medicine 1 week tak kam karti hai. Ye per week ke hisab se heel hota rehta hai. Agar aap ka pilonidal sinus 2-3 cms hai to aap ko 4-6 visits karna hota hai. Ek bar puri taraha se heal hone ke baad ismein dubara hone ke chances khatam ho jate hain. To aap ye surgery kisi bhi ayurveda Dr se le sakte hain.

Thank You.

Hi,

I am Dr. S K Singh, Ayurveda. Aaj hum baat krenge anal fissure ke bare me. Ye ek injury ke roop me dikhta hai. Iska main symptom pain hai. Anal fissure me 2 states hain - acute and chronic. Chronic me pain hota and khtam ho jata hai. Hum baat krenge acute anal fissure ke bare me. Iska symptom hai pain while passing stool. Kayi baar pain itna jyada hota hai ki patient khana peena chor dete hain taki unhe motion ke lia na jana pade. Pain killers ka asar bhi 2-3 hours ke baad khatam ho jata hai. Modern hospitals me immediately surgeries suggest ki jati hai.

But aisa jaruri nhi hai ki surgery krane ke baad patient puri trha se thik ho jaye. Surgeries ke bhi apne complications hote hain. Kayi baar patient jyada damage hone ki vjha se stool nhi rok pate hain. Ayurveda me iska bhut hi acha treatment available hai. Isme injury choti hoti hai but pain bhut jyada hota hai. Is vjha se rasta tight and band ho jata hai. Spasm itna jyada ho jata hai ki patient gas bhi pass nhi kr pata hai. Hum medicines apply krte hain. Dilatation dia jata hai. Patient ko daily 10 minutes ke liya aana hota hai hmare pas. Within 5-7 days patient us face se bahar aa jat hai. 80% patient ki problem khatam ho jati hai. So, now only say NO to surgery. Humne bhut patient dekhe hain jisme patient ko surgery se koi benefit nhi hua hai. Islia aap ayurveda Dr. se pehle consult kren.

Thank You

Hi,

I am Dr. SK Singh. I did my post graduation in ayurvedic surgery that is MS Ayurveda from institute of medical sciences Banaras University, BHU .So today I am going to talk about anal fistula. Anal fistula is a very now it is very commonly seen in the general public and it presents itself as a small swelling in the anal region, there is a swelling with some pain and sometimes the discharges like pus or watery discharges may also be noticed. So basically any type of any swelling with or without pain which is located near the anal region and sometimes the pus or watery discharges are noticed from the swelling, this is a very common indication for anal fistula. This indicates that the problem maybe anal fistula.

Now we talk about the treatment. This is a common feature of anal fistula, now we talk about the treatment. The treatments which are available nowadays there are large number of options are available because in modern surgery if you talk about modern surgery initially it was fistulectomy which was done and after that they since fistulectomy has its own complications like anal incontinence, recurrence of the disease, most of complications like pain, bleeding etc. So other options were thought about and amongst those options which were tried in the past they are like glue technique was there, the laser was tried and now a days it is the VAFT that is video assisted anal fistula treatment which is also known as MAFT as minimal anal fistula treatment they are being tried but unfortunately in all these options with all these options the treatment of fistula has not been has not been very confirmed that there is no as because even in these conditions also recurrences are being noticed. Now if we if we look back towards the surg in the of the in in the past years, now if we thought about the in the past years in the past 1500 years B.C if we talk about this disease was there and this was mentioned this has been mentioned in ayurvedic text as Bhagandara. Now this treat this anal fistula was treated in those days with the with Kshar Karma and Kshar Sutra chikitsa.

Now this kshar sutra chikitsa is a non surgical treatment. This kshar sutra treatment is a non-surgical is a para-surgical treatment usually it does not require any major surgical incisions or surgical or damage to the tissues. Precisely what is it in this technique we have to first define the track of the fistula and that could be done by MRI fistulogram or we can with delicate gentle probing also we can find out the depth, direction and the branching pattern of the fistulous tract. Now once this depth, direction and branching pattern of the fistula has been defined, then a medicated thread that is known as kshar sutra that is under certain under local anaesthesia with certain equipments, this thread is being replaced in the fistulous tract.

The medicine which is released from this thread from this kshar sutra usually deprives the fistulous tract gradually. It cleans off it clears off all the unhealthy fibrous tissue collections etc which are present in the fistulous tract and which are preventing the healing of the fistula. Since this this basically this if you thought if you if you if we try to explain the mechanism of action, see basically thread is a media by which we are delivering the medicines that it kshara precisely in the tract which are existing in the fistula. So with the help of thread, the medicine is being is reaching to the into the entire tract and the medicine is cleaning the tract and body its itself spontaneously healing is there.

Now the healing rate with this kshar sutra is approximately 0.5-1 cm per sitting i.e to say that once the thread has been placed, the medicine is being released, it is working and debriding the tract but this medicine remains active for 5 to 7 days and after that the medicine is finished so this thread has to be replaced by a new thread at weekly or 10 days interval. Now this system of change that is what we call as secondary sittings, this continues till there is a final cut through that is to say that the fistula is the thread is gradually coming down at the rate of 0.5-1 cm per sitting and the length of the thread, the loop length of the thread is also reducing and gradually the thread is coming towards the periphery and then it is it comes out with the simultaneous simultaneous healing which is following the thread. So this is the best way to treat the anal fistula which does not require any hospitalization or bed rest, you can continue your normal routine activities as usual.

Now so far as the clinical trial is concerned the thing is that whether this treatment is effective or not, let me tell you this the clinical trial, the comparison between surgery and kshar sutra, this was conducted long back by ICMR Indian council of medical research and the the clinical trials were conducted at 4 premium medical institutes including AIIMS Delhi, PGI Chandigarh etc and the ICMR researchers they are concluded that the kshar sutra treatment is more effective and more convenient as compared to surgery in the patients of anal fistula. So this is an unbiased that if the unbia this is being concluded that in whatever type of treatments present nowadays to treat anal fistula, the best worked therapy is the kshar sutra therapy. As speci this is a specialised therapy of ayurvedic shalaya chikitsa, ayurvedic shalaya chikitsa paddhati. This so this is being done and I would like because the masses are not aware about this kshar sutra. They do confused it with Bengali treatment or unethical treatment which is being which is being commonly seen in the nearby areas also.

So this is this this kshar sutra is a scientific techno scientific treatment which has been evaluated scientifically and is a part of ayurvedic system of medicines and surgery. This has nothing to do with the Bengali treatment. Basically what is more to my information Bengali treatment there is some some people are doing it that they are putting they are not calling this the Bengali treatment has not been scientifically evaluated. They used to put the thread and they are simply cutting the tissues with the thread. Every day they are cutting it and then they are putting a pressure this is basically a mechanical work cutting of the tissue which is which is unethical. It should not be done. The best option is of kshar sutra chikitsa.

So just for your information I would have delivered this I would have passed this information to you and you should like and I would request you to spread this information about in in the masses so the people who are suffering from anal fistula should get a proper information and and they should get this information that there is an option that is which is from ayurvedic surgery and which is far better than modern surgery or any X system existing in in in the medical science for for the management of anal fistula.

Thank you very much.

Hello Friends, We welcome you to Sushruta Ano-Rectal Institute. I am Dr. S K Singh, medical director at Sushruta Ano-Rectal Institute.

Aaj hum baat karenge Anal Fistula ke baare mein. Is bimari ka kaise pata chalta hai. Iska symptoms hai pimple around the anal area. Isme se kabhi kabhi pus or water discharge hota hai. Isme swelling and pain bhi ho sakta hai. Isko hum MRI fistulogram, x-ray ke through diagnose karte hain. Uske baad decide kiya jata hai ki isko kaise treat kia jaaye.

Kuch cases mein fistula dobara bhi ho jaata hai. Patient ka motion control weak ho jaata hai. 15-20 cases me ye dobara bhi ho sakta hai. Treatment hai kshar sutra. Ye ayurveda me kaafi important treatment hai. Ayurvedic treatment me bhi surgical speciality treatment hota hai. Isme hum ek thread use krte hain. Isme different type ki medicines use ki jati hain. Is thread ko anal ke andar place kia jaata hai. Ye 15-30 minutes ka procedure hai. And procedure ke 30-40 minutes baad patient apna normal activities kar sakta hai.

Ye procedure weekly kiya jaata hai. Jaise track clean hota hai vaise healing bhi hone lagti hai. Isme 6-8 sitting leni hoti hai. Isme dobara hone ke chances nahi hote hain. Logon mein iska awareness zyaada nahi hai. Log surgery karane ke baad bhi ye treatment karate hain quki kai cases mein surgery fail ho jati hai. Is ke baare mein aap or logon ko bhi batayein so that logon mein awareness ho. Thank You.

Hi, I am Dr SK Singh, I am a surgical specialist in Ayurveda. I did my post graduation that is MS ayurveda from Institute of Medical Sciences, Faculty of Ayurveda, BHU. Recently I am running Sushruta Ano Rectal Institute in Rohini in New Delhi. Sushruta Ano Rectal Institute jo ki Guda rogo ke ilaj ke liye banaya gaya hai. Aur iss mein sabhi prakar ke Guda rog Jaise piles, fitsula, fissure, chronicles synus adi ka bugair operation appropriate tarike se ilaj kiya jata hai. Toh aaj hum baat karte hain piles ke baare mein, yani bawasir jise hum aam bhasha mein jayadater log jante hain. Piles ek aisi bimari hai jisme log jayadater iske baare mein baat karne se katratte hain just like a social Taboo. Lekin iss bimari ke bare mein jankari lena bahut avashyak ho gaya hai, jisse ki aap isko samaj mein doosre log hain jo isko bawaseer ke naam pe logo ko gumrah karte hain, toh aap logo ko Uske baare mein sateek jankari honi chahiye. Toh piles mein rogi ko kya hota hai, piles mei rogi ko bugair vedna ke, mal tyag ke samay bleeding ka hona ye ek pramukh lakshan hai. Toh Jyada tar logo meinyeah bleeding ke roop mein hi, ya mal tyag ke samay Khoon Ka aana yeh hi iska pradhan lakshan hai. Yeah bimari agar adhik samay tak rehti hai toh isme chote musse ban jaate hain, guda marg mein chote mas ke musse aur wo kabhi-kabhi mal tyag ke samay bahar aate hain aur kabhi apne aap ander chale jate hain. lekin aur adhic stress badne pe ye masse apne aap ander reh jate hain aur kai baar marij ko apne hath se daba ke ander kerna padta hai. Toh sadaran roop mein piles is taranh seapne aap ko present kerta hai, bawasir ko. Ab hum iss bare mein janane ki koshish kerte hain ki ye ro hota kyun hai. Ab aaj-kal aisa mana gaya hai ki ye jo bimari hai piles ye challis saal ya pachas saal ke aas-pas matlab adult age mein, bade bujurgo mein jayada pai jati hai kyunki uss samay tak jo hamari guda marg ki jo veins hain blood vessels hain unme endorcement ho jata tha aur dheere-dheere unme swelling aa jati thi. Lekin aaj- kal ye dekha gaya hai ki jo project time hai inme teenage group mein ya college going bachcho mein ya youth mein bhi ye bahut milne laga hai, reason being ki aaj-kal ka hamara jo khane peene ka jo hamar fast food culture hai, jo sedentary lifestyle jo humlog ghumte firte nahi hain aur jo ek jagah baith ke computers pe ya laptops pe kaamkerte hain, toh hamari physical activity hai kafi restrict ho gayee hai.

Toh sedentary lifestyle, fastfood culture aur isulins wagerah ki kami ki wajah se ye bimari early stage mein bhi dekhne ko mil rahi hai aur aajkal toh ye bhi dekha gaya hai ki log newspaper lekarke toilet mein chale jate hain ya mobile leke toilet mein chale jaate hain, baithe rehte hain toh woh continuous uss time ko utilise kar rahe hote hain. Lekin unknowingly vo jo baithne ka pressure hai woh rectal veins pe padta hai aur unmai balloning hona shuru ho jati hai, it because of constant pressure go in the blood vessel guda marg ki jo khoon ki nali hai unmai phulav aane lagta hai aur woh musse ka roop dharan kar leti hai. iss tarah se ye problem constipationki wajah se ya motion mein jo der tak baithe rehne se ya strain karne se bhi yeah balloon effect aata hai aur khoon ki naliya fool karke musse ka roop dharan kar lete hain. Toh iss tarah se ye shuruaat hoti hai, aur aisa nahi hai ki ek din mein piles ban jaate hain, yeh hamara lifestyle kafi samay tak aisa chalta rehta hai tab jakar ke effect masse ke roop mein dikhai deta hai.

Ab baat hoti hai ki ek baar musse ban gaye hain toh ab unka ilaj kaise kiya jaye, ilaj ke liye aapne dekha hoga ki aaj kal usually log bawaseer ke masse ban jane ke baad mein surgery karate hain ya phir iska ek dusra tarika hai jisko hum kehte hain ki stapling technique, stapling technique bhi aa gayi hai, Jisme hum staple kerte hain lekin Ayurved mein iss bimari ka bahut hi badiya ilaj bataya gaya hai bugair operation ke. Toh 1st tage mein aur early 2nd stage mein, Jisme ki sirf bleeding hi pradhan lakshan hota hai ya musse kabhi kabhi bahar aate hain aur apne aap andar chale jate hain. Aisi stage mein hum piles mein kshar karma Ke dwara aur Ayurvedic aushadhi chikitsa ke dwara usko puri tarah se thik kiya ja sakta hai. 2nd or 3rd stage mein jab musse ka size bada ho jata hai aur musse bahar aane lagte hain aur ya chalte phirte bhi bahar aa jaate hain, toh aisi sthiti mein ksharsutra ligation is the best treatment for these internal haemorrhoids, inmein koi cheed-fad ki zaroorat nahi hoti hai. In musso ko kshasutra ke dwara ligate kiya jata hai, aur bahut hi suvidha janak roop hafte, dus din ke andar yeah piles mass sukh karke aur ye nikal jata hai. Toh is tarah se mai suggest karna chahunga ki log isme surgery ki bajai log Ayurvedic chikitsa ko apnaye aur yeh surgery se adhik kargar bhi hai aur suvidhajanak bhi hai. Toh dosto ye information aap baaki logo ke sath share kijiye aur iska labh uthaye. Aur agar koi problem hoti hai to aap meri website www.ayurcare.com ya Lybrate ke through hame sampark kar sakte hain.

Thank you very much.

I am Dr SK Singh, I did my post graduation in Ayurvedic surgery. I am a surgical specialist in Ayurveda and presently I am running Sushruta Ano Rectal Institute in Rohini, New Delhi. Dosto aaj hum baat karte hain pilonidal sinus rog ke bare mein. Ye rog usually, unn vyaktiyon mein, unn logon main jyada paya jata hai jinki skin pe hairs jyada hote hain, hairy skin mein iss rog ke hone ki sambhavna jyada rehti hai. Hota kya hai pilonidal sinus rog, aap log janana chahenge toh hum uske baare mein batate hain. Pilonidal sinus rog mein peeth ke nichle hisse mein hips ke just upar midline mein ek choti si phunsi hoti hai jisme se kabhi-kabhi discharges paye jaate hain, yeh discharges watery, blood mix, yah puss discharges hote hain aur kabhi yeh discharges hote hain aur nikalne ke baad kai baar yeh phunsi phul bhi jati hai. Kuch dino tak ye sukhi rehti hai lekin dobara phir isme discharges hote rehte hain. Is tarah se off and on discharges or ye phunsi ka honaa woh bhi peeth ke nichle hisse mein, iss rog ka pilonidal sinus ka pradhan lakshan hai. Jyada tar baccho mein school going baccho mein ya college going youth mein yeah padhan roop se dekha jata hai, aur is rog ki prarambhik avastha mein iske bare mein jankari jyada ho nahi paty hai kyunki isme phunsi hui aur puss nikal gaya thik ho gaya phir kuch din tak pada raha, off and on iss taranh se chalta rehta hai. Agar hum time rehte pilonidal sinus ka treatment hum nahi karte hain toh kai baar isme branching pattern ho karke ek multiple sinus bhi ho sakta hai. Ab hum baat karte hain pilonda sinus rog ka ilaj kaise kiya jaye. Aaj kal is Rog mein aap homeopathic, Ayurvedic, allopathic koi bhi medicines khaate hain, medicine treatment is not the treatment of choice, kyunki yeh dawa khane ke bawjud is rog ke dobara hone ki sambhavna bani rehti hai. So next treatment is, usually doctor isme surgery recommend karte hain, the patient is go for the surgery operation z-plasty karate hain. But isme bhi surgery ke baad bhi is rog mein around 15 se 20 percent cases mein dobara hone ki sambhavna rehti hai. Jabki ayurved mein kshasutra chikitsa dwara iska ilaj puri tarah se sambhav isme dobara hone ke chances nahi rehte aur isme surgery ki zaroorat nahi padti hai. Pilonidal sinus mein kshasutra ilaj kaise karte hain uske baare mein pehle hum sinus ko probing ke zariye ya sinogram ke zariye uss tract ko hum define kar lete hain, sinus ko define kar lete hain. Uska kya depth hai, uska kya direction hai, uska kya prachin pattern hai, aur ek baar ye humne isko finalize kar liya iske tract ke baare mein.Pphir uske baad usme medicated thread ya kshasutra ko place k iya jata hai. Under accepted precaution woh thread place hone ke baad phir patient ka apna ghumna-firna, chalna-phirna sab normal rehta hai. But medicine jo hai ek baar thread place kar diya tract mein, toh dawaiyan dheere-dheere thread se tract ke andar dissolve hoti rehti hain, tract ko clean karti rehti hain. Ye medicine jo hai woh 5 to 7 days mein khatam ho jati hai, so thread has to be replaced. Isko her week ek naye thread se replace kiya jata hai dheere dheere yeah tract apne aap clean hota jata hai, sath sath heal up hota jata hai. Aisa dekha gaya hai ki kshasutra chikitsa mein jo pilonidal sinus hai woh tract 0.5 to 1 cm per sitting, yani per week ke hisab se yeh heal up hota hua aata hai. Aur iss tarah se bugair operation iss rog ko hum Ayurvedic kshasutra chikitsa ke dwara puri tarah se thik kar sakte hain. Aur isme dobara hone ke chances nahi rehte hain.

Therefore, in cases of all patients who are suffering from pilonidal sinus say no to surgery, go for specialised ayurvedic ksharsutra treatment. Adhik jankari ke liye aap lybrate ke through contact kar sakte hain aur visit the site www.ayurcure.com. Thank you very much.
 

I am Dr SK Singh, I am surgical specialist ayurveda added by MS in ayurveda from IMS, BHU. Doston aaj hum baat karte hain fissure rog ke bare mein. Hum Sushruta Ano Rectal Institute jo ki Guda rogo ke ilaj ke liye aaj-kal jana jata hai. Toh inn guda rogo mein piles , fistula aur fissure pradhan roop se dekhe jate hain, toh jayadater logon mein piles or fissure ye ek aisi confusing state rehti hai ki humko piles hai ke fissure hai. Toh hum baat kerte hain ki fissure rog hota kya hai, fissure mein aisa dekha gaya hai ki jo pradhan lakshan hai wo mal tyag ke samay dard kahona, vedna ka hona, ye fissure ka pramukh lakshan hai. Fissyre rog mein kai baar vedna ke sath-sath halki-pulki bleeding ho sakti hai, nahi bhi ho sakti hai but pain very extrusion, bahut jayada teevra vedna ka hona, acute pain ka hona mal tyag ke samay, ye iska mukya lakshan hai. Ab hum baat kerte hain ki fissure hota kya hai, dekhiye fissure rog mein mal, jo hamara anal canal hai, anal canal ke ander ki jo lining hai, woh line in membrane kai baar kat jati hai ya toot jati hai. Wo katna ya tootna iss baat pe nirbhar kerta hai, do, teen cheesze jin per nirbhar kerta hai. No. 1 stool ka tight hona, mal ki ya stool ki consistency jab tight hoti hai toh wo mal tyag ki friction injury se jo hamari lucus membrane hai anal canal ki wo toot jati hai, iss taranh se wahan pe ek jakham bann jata hai ya kai baar aisa bhi dekha gaya hai ki rogion mein baar-baar motion hone ki wajah se chahe wo loose motion ho ya kolaitis ki wajah se baar-baar motion ho raha ho, kisi infection ki wajah se ho raha ho, to bhi repeated motion ki wajah se bhi ye injury ho sakti hai. Toh ek baar ye cut injury ho jane pe, dekiye shareer mein injury kahin bhi hoti hai toh body ki apni healing capacity hoti hai, kai mareejo mein kya hota hai ki ye cut gaya aur do-char din mein wo dheere-dheere heal up ho jata hai. Lekin heal up puray tareekay se nahi ho pata, wo jo healed area hota hai wo weak hota hai, toh dobara agar fir stool tight hua toh dobara fir ho jata hai. Toh iss taranh ek hi point pe baar-baar injury hone seye jo jakham hai dheere-dheere gap aane lag jata hai aur fir ye symptoms pain ke, itching ke ya jalan wagerah ke, ye bahut frequently hone lagte hai patient ko do-do, char-char din, kai baar agar jayada cut gaya toh ek hafte se dus-dus din tak ye pain aur jalan patient ko hoti rehti hai. Iss pain aur jalan ki Awadhi ya duration of symptons hai, wo ispe depend kerta hai ki kitna gap hai. Abhi ek baar agar recent bann gaya hai toa aap medicine lete hain, pait saf kerne ki dawawaiyan lete hain, kuch local application ke liye dawai lete hain, usme aapko rehat milti hai pain wagerah mein. Lekin iska jo proper treatment hai wo kshar karma ke dwara hota hai jisme ki kuch medicines di jati hain aur weakly sittings hoti hain medicines ko apply kerne ki, dheere- dheere wo jakham badta chala jata hai. Aur acute fissure mein usually log anal dilatation kerte hain, surgery kerte hain, that is not required uski zarurat nahi hoti hai aur Ayurvedic kshar karma ke dwara ya Ayurvedic aushadhio ke lape se, ye fissure acute stage pe puri tarah se theek ho sakta hai. Now next thing is agar kai baar fissure ke aagey chronic fissure repeatedly hota rehta hai, jayada samay ta rehta hai, use thoda sa massa niche latak jata hai, thodi si skin bahar aa jati hai jise hum kehte hain senital tag. Whts the senital tag is formed, ye agar ek baar bann gaya to fir hum isko sirf dawawaiyon ke lape se ya kshar karma puri taranh se theek nahi ke payenge. Kshar karma ke sath-sath iss tag ko kshsarsutra ligation ke dwara isko hatana bhi bahut zaruri hota hai aur ek baar ye hatt jata hai toh puri teranh se ye fissure theek ho sakta hai. Isliye whether it is a condition of acute fissure, chahe ye acute fissure ho ya chronic fissure, chronic fissure mein senital tag bhi ho, toh bhi ayurved mein prabhavi roop se ksher karma aur kshsarsutra ke dwara begair operation ke iska ilaj pyri teranh se sampurna hai. So no to syrgery in the cases of acute fissur or chronic fissure.

Thank you very much.

I’m Dr. S. K. Singh. I did my MS from IMS institute of medical sciences BHU and I were also associated with Moolchand Hospital. Now we are running a Sushruta ano-rectal institute here in NewDelhi.

Tau aj hum fistula ke barey mein baat karenge. Fistula ke barey mein humein ek general awareness public awareness program launch kerte rahe hain aur ussi ke tehat yeh information hum ap logon tak puhanchana chahte hain. Fistula ek aisi bimari hai jau ke paraya aam logon mein discuss kerne ki jis ke barey mein ziada tar log discuss nahi kerte hain yeh ek choti si phunsi ki roop mein shuru hota hai. Anal canal kea as paas ek choti si phunsi hoti hai jis mein se kabhi halki soojan kabhi kabhi us mein se pus discharge nikalta hai. Aur kabhi yeh discharge apne ap thek bhi hojata hai. Amoman is mein ziada taqleef nahi hoti hai tau yeh salon saal aise ya kuch mahiney aise chalta rehta hai. Aur log aise antibiotic painkillers lete rehte hain lekin yeh puri tarah se thek nahi hota. Aur kaye baar is mein kaye multiple branches ban jati hain ya deep fistula ban jata hai jis mein phir ilaj kerne mein ziada pareshani hoti hai is liye is roop ki proper diagnosis samay rehte hue iska nedaam zaruri hai aur samay rehte iska ilaj bhi zaruri hai. Fistula ke ilaj ke barey mein aj kal kaye padattiyan humare samne hain. Jaise hum allopathic mein dekhte hain humare fistula surgery hai, waft hai aur hum aj kal blue technique ka bhi use kerte hain lekin in meinse kisi bhi chikitsavdhi mein kisi bhi procedure ke andar iska puri tarah se iska ilaj abhi tak saboh nahi ho paya hai. Usually surgery ya even waft ke baad bhi 15-20% cases mein fistula ke logon mein yeh bimari dobara dekhi gaye hain. Issi bimari ka is fistula ka ayurvedic mein bhi varhan kiya gaya hai aur ayurvedic mein jau chikitsa bataye gae hai usko hum kehte hain Ksharasutra chikitsa. Yeh Ksharasutra chikitsa fistula ke rogioun mein adrik surgery se bhi ziada adik perbavik paye gaye hai. Aur clinically bhi yeh all institute of medical sciences mein ICM mein ek trial kiya gaya tha indian council of medical ne us trial mein yeh paya gaya ke fistula ke rogioun mein Ksharasutra chikitsa adrik surgery se adi kargar hai aur sweda janam bhi hai. Ab aj kal is Ksharasutra chikitsa k eek improve version agaya hai jisey hum kehte hain graded Ksharasutra chikitsa, aur yeh swedah humare yeh jau research work hai yeh humare Sushruta institute mein kiya gaya hai aur yeh swedah is samay bharat mein kewat (inaudible2:38) hi mein uplubbd hai aur graded Ksharasutra chikitsa ke upyog se fistula ka aur adik perwaden se upyas sambhan hochuka hai. Fistula ki bimari ke bare mein aur adik jaan kari ke liye ap humari website www.iamcure.com per login kersakte hain ye phi rap mujh se lybrate ke through bhi connect hosakte hain aur personally ap patient ya (inaudible3:12) ap humare clinic pe asakte hain aur is swedah ka iska upyog ya iska laav utha sakte hain aur is information ko me chahunga kea p dosre logon ko bhi jau isse peerat hain un tak puhanchaye jisse unko iske bari mein jaankari prapt ho sake. Thank you!